DR. TIMOTHY DOMER (NPI# 1942389770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942389770 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY DOMER |
| Credential | M.D. |
| Practice Address |
1601 W Saint Marys Rd Tucson AZ 85745-2623 |
| Mailing Address |
2202 N Forbes Blvd Tucson AZ 85745-1412 |
| Practice Telephone | 5208726040 |
| Practice Fax Number | 5208726007 |
| Mailing Telephone | 5208727536 |
| Mailing Fax Number | 5208727929 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2014-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
23789 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
23789 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 407678 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417918111 | Timothy P Domer | Orthopaedic Surgery | 16687 Saint Clair Ave, Suite 101, East Liverpool, OH 43920-9401 | 2006-03-31 |
| Street Address |
1601 W SAINT MARYS RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699775528 | David A Boswell | Emergency Medicine | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2005-07-21 |
| 1285113654 | Marissa Kryger | Speech-Language Pathologist | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2018-08-07 |
| 1114438926 | Tamra L Mullen | Speech-Language Pathologist | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2017-10-19 |
| 1881117703 | Marybeth Theano Serdenes | Occupational Therapist | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2017-07-23 |
| 1669907713 | May Grace Kushner | Nurse Practitioner | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2017-04-26 |
| 1588198006 | Charles Elliott | Emergency Medicine | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2017-04-12 |
| 1093259640 | Robert Theodore Galey | Nurse Practitioner | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2016-12-15 |
| 1962944702 | Sound Physicians Intensivists of Arizona, Inc | Family Medicine | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2016-11-10 |
| 1699146324 | Lydia Esabia Fernandez | Registered Nurse | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2015-10-07 |
| 1720454341 | Smsj Tucson Holdings LLC | Psychiatric Unit | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2015-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720463466 | Agape Palliative Care, LLC | Internal Medicine | 2980 N Swan Rd, Ste 225, Tucson, AZ 85712-6024 | 2015-07-23 |
| 1699918235 | Tlc Healthcare Wound Specialists Inc | Internal Medicine | 5130 N Circulo Sobrio, Tucson, AZ 85718-6036 | 2009-04-13 |
| 1003027426 | John Polacheck | Internal Medicine | 1701 W. St. Mary's Rd., Suite 102, Tucson, AZ 85745 | 2007-05-25 |
| 1972891141 | Bianca Santoni Zangeneh | Internal Medicine | 3601 S 6th Ave, Tucson, AZ 85723-5036 | 2011-07-21 |
| 1013181577 | Macy Alayne Whitley | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-5036 | 2008-04-16 |
| 1437182052 | Hospitalists of Arizona, Inc | Internal Medicine | 3945 E Paradise Falls Dr, Suite 201, Tucson, AZ 85712-6687 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1760045009 | Neighborhood Hospice LLC | Internal Medicine | 13000 N 103rd Ave Ste 56, Sun City, AZ 85351-3024 | 2019-04-22 |
| 1790201960 | Suncrest Hospice Phoenix LLC | Internal Medicine | 4650 E Cotton Center Blvd Ste 110, Phoenix, AZ 85040-4801 | 2017-08-18 |
| 1801203682 | Amrita Kaur Sabharwal | Internal Medicine | 2451 S Avenue A Ste A104, Yuma, AZ 85364-7189 | 2014-07-14 |
| 1417121849 | A Collins Villamor | Internal Medicine | 13000 N 103rd Ave Ste 54, Sun City, AZ 85351-3024 | 2008-04-16 |
| 1336785567 | Compassus Op of Arizona LLC | Internal Medicine | 120 N 44th St Ste 150, Phoenix, AZ 85034-1829 | 2019-11-22 |
| 1013571017 | Wings of Hope Hospice and Palliative Care Inc. | Internal Medicine | 11022 N 28th Dr Ste 205, Phoenix, AZ 85029-5635 | 2019-04-24 |
| 1831655760 | Rta Hospice, LLC | Internal Medicine | 1025 W 24th St Ste 15, Yuma, AZ 85364-8373 | 2019-02-15 |
| 1326512203 | Scott Tomlinson | Internal Medicine | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2019-01-14 |
| 1124569868 | Paradise Patient Care, LLC | Internal Medicine | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2017-03-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.